70 Questions
ATI RN Fundamentals 2026 NGN Practice
Examination
70 Questions with Comprehensive Rationales
(NGN) Format | Mixed Difficulty | Study Mode: Answers and Rationales
Included
Question Type Key: MCQ = Multiple Choice | MS = Multiple Select (Select All That
Apply) | OR = Ordered Response | FB = Fill in the Blank
Question 1
[MCQ] Multiple Choice
A nurse is caring for a client who is on contact precautions for Clostridioides
difficile (C. diff). Which of the following actions should the nurse take?
A. Wear an N95 respirator when entering the room
B. Wear gloves and a gown when providing direct care [Correct]
C. Place the client in a room with negative-pressure airflow
D. Use alcohol-based hand sanitizer after removing gloves
Correct Answer: :
B Rationale:
C. difficile is transmitted through the fecal-oral route via direct contact with contaminated
surfaces or equipment. Contact precautions require the nurse to wear gloves and a gown
when providing direct care to prevent the spread of spores. An N95 respirator is used for
airborne precautions (e.g., tuberculosis), not contact precautions. Negative-pressure
airflow is also used for airborne isolation, not contact isolation. Alcohol-based hand
sanitizer does not kill C. difficile spores; the nurse must wash hands with soap and water
after removing PPE.
Question 2
[MS] Multiple Select (Select All That Apply)
Page 1
, 70 Questions
A nurse is preparing to administer medications to a client. Which of the following
actions are part of the Six Rights of medication administration? (Select all that apply.)
A. Right client [Correct]
B. Right documentation [Correct]
C. Right room
D. Right route [Correct]
E. Right time [Correct]
Correct Answer: s:
A, B, D, E
Rationale:
The Six Rights of medication administration include: right client, right medication,
right dose, right route, right time, and right documentation. Right room is not one of the
Six Rights. The nurse should verify each right prior to administering any medication to
reduce the risk of medication errors and ensure patient safety.
Page 2
, 70 Questions
Question 3
[MCQ] Multiple Choice
A nurse is performing hand hygiene after removing gloves. Which of the following
techniques is correct?
A. Rinse hands under running water for 5 seconds
B. Apply soap and rub all surfaces of the hands for at least 20 seconds
[Correct]
C. Use a single paper towel to turn off the faucet
D. Dry hands on a reusable cloth towel
Correct Answer: :
B Rationale:
The CDC recommends washing hands with soap and water for at least 20 seconds,
rubbing all surfaces including between fingers and under nails. Rinsing for only 5
seconds is insufficient. A clean paper towel should be used to turn off the faucet to
avoid recontamination, but the question asks about the correct technique overall, not just
the finishing step. Reusable cloth towels can harbor microorganisms and are not
recommended in healthcare settings.
Question 4
[OR] Ordered Response
A nurse is performing CPR on an adult client. Place the following steps in the correct
order.
1. Activate the emergency response system
2. Check for responsiveness and breathing
3. Begin chest compressions at a rate of 100-120/min
4. Open the airway and give 2 rescue breaths
5. Place the AED pads and analyze the rhythm
Correct Order: 2,
1, 3, 4, 5 Rationale:
The correct sequence follows the BLS algorithm: first check responsiveness and
breathing (1), then activate the emergency response system (0), begin chest
compressions immediately at 100-120/min with depth of at least 2 inches (2), open the
airway and deliver 2 rescue breaths (3), and then use the AED to analyze the rhythm (4).
Page 3
, 70 Questions
Early chest compressions are critical to maintaining perfusion. The AED should be used
as soon as it is available, but compressions should not be delayed to retrieve it.
Question 5
[MCQ] Multiple Choice
A nurse is caring for a client who has a new prescription for wrist restraints. Which of
the following actions is the priority?
A. Ensure the restraints are tied to the side rails
B. Check that two fingers can fit under the restraints [Correct]
C. Document the client behavior that necessitated the restraints
D. Remove the restraints every 2 hours to assess skin integrity
Correct Answer: :
B Rationale:
Page 4
ATI RN Fundamentals 2026 NGN Practice
Examination
70 Questions with Comprehensive Rationales
(NGN) Format | Mixed Difficulty | Study Mode: Answers and Rationales
Included
Question Type Key: MCQ = Multiple Choice | MS = Multiple Select (Select All That
Apply) | OR = Ordered Response | FB = Fill in the Blank
Question 1
[MCQ] Multiple Choice
A nurse is caring for a client who is on contact precautions for Clostridioides
difficile (C. diff). Which of the following actions should the nurse take?
A. Wear an N95 respirator when entering the room
B. Wear gloves and a gown when providing direct care [Correct]
C. Place the client in a room with negative-pressure airflow
D. Use alcohol-based hand sanitizer after removing gloves
Correct Answer: :
B Rationale:
C. difficile is transmitted through the fecal-oral route via direct contact with contaminated
surfaces or equipment. Contact precautions require the nurse to wear gloves and a gown
when providing direct care to prevent the spread of spores. An N95 respirator is used for
airborne precautions (e.g., tuberculosis), not contact precautions. Negative-pressure
airflow is also used for airborne isolation, not contact isolation. Alcohol-based hand
sanitizer does not kill C. difficile spores; the nurse must wash hands with soap and water
after removing PPE.
Question 2
[MS] Multiple Select (Select All That Apply)
Page 1
, 70 Questions
A nurse is preparing to administer medications to a client. Which of the following
actions are part of the Six Rights of medication administration? (Select all that apply.)
A. Right client [Correct]
B. Right documentation [Correct]
C. Right room
D. Right route [Correct]
E. Right time [Correct]
Correct Answer: s:
A, B, D, E
Rationale:
The Six Rights of medication administration include: right client, right medication,
right dose, right route, right time, and right documentation. Right room is not one of the
Six Rights. The nurse should verify each right prior to administering any medication to
reduce the risk of medication errors and ensure patient safety.
Page 2
, 70 Questions
Question 3
[MCQ] Multiple Choice
A nurse is performing hand hygiene after removing gloves. Which of the following
techniques is correct?
A. Rinse hands under running water for 5 seconds
B. Apply soap and rub all surfaces of the hands for at least 20 seconds
[Correct]
C. Use a single paper towel to turn off the faucet
D. Dry hands on a reusable cloth towel
Correct Answer: :
B Rationale:
The CDC recommends washing hands with soap and water for at least 20 seconds,
rubbing all surfaces including between fingers and under nails. Rinsing for only 5
seconds is insufficient. A clean paper towel should be used to turn off the faucet to
avoid recontamination, but the question asks about the correct technique overall, not just
the finishing step. Reusable cloth towels can harbor microorganisms and are not
recommended in healthcare settings.
Question 4
[OR] Ordered Response
A nurse is performing CPR on an adult client. Place the following steps in the correct
order.
1. Activate the emergency response system
2. Check for responsiveness and breathing
3. Begin chest compressions at a rate of 100-120/min
4. Open the airway and give 2 rescue breaths
5. Place the AED pads and analyze the rhythm
Correct Order: 2,
1, 3, 4, 5 Rationale:
The correct sequence follows the BLS algorithm: first check responsiveness and
breathing (1), then activate the emergency response system (0), begin chest
compressions immediately at 100-120/min with depth of at least 2 inches (2), open the
airway and deliver 2 rescue breaths (3), and then use the AED to analyze the rhythm (4).
Page 3
, 70 Questions
Early chest compressions are critical to maintaining perfusion. The AED should be used
as soon as it is available, but compressions should not be delayed to retrieve it.
Question 5
[MCQ] Multiple Choice
A nurse is caring for a client who has a new prescription for wrist restraints. Which of
the following actions is the priority?
A. Ensure the restraints are tied to the side rails
B. Check that two fingers can fit under the restraints [Correct]
C. Document the client behavior that necessitated the restraints
D. Remove the restraints every 2 hours to assess skin integrity
Correct Answer: :
B Rationale:
Page 4
